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Volume 23, Number 12—December 2017
Research Letter

Acute Myopericarditis Associated with Tickborne Rickettsia sibirica mongolitimonae

Pablo Revilla-Martí, Álvaro Cecilio-Irazola, Jara Gayán-Ordás, Isabel Sanjoaquín-Conde, Jose Antonio Linares-Vicente, and José A. Oteo
Author affiliations: Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain (P. Revilla-Martí, A. Cecilio-Irazola, J. Gayán-Ordás, I. Sanjoaquín-Conde, J.A. Linares-Vicente); Centro de Investigación Biomédica de La Rioja, Logroño, Spain (J.A. Oteo)

Main Article

Table

Characteristics of adults previously reported with myopericarditis associated with Rickettsia spp. infection*

Characteristic Patient 1 (2) Patient 2 (3) Patient 3 (4) Patient 4 (5) Patient 5 (6) Patient 6 (7) Patient 7 (8) Patient 8 (9)
Age, y/sex 28/M 52/F 74/F 35/M 25/F 54/M Unk/unk 26/M
Country
 Spain
 Australia
 South Africa
 South Africa
 United States
 United States
 Sri Lanka
 United States
Signs and symptoms
Fever No Yes Yes Yes Yes Yes Yes Yes
Rash No Yes Yes Yes Yes No Unk Yes
Adenopathy Yes No Yes No Unk Unk Unk Unk
Lymphangitis Yes No Yes Yes Unk Unk Unk Unk
Headache Yes Yes Yes No Unk Yes Unk Unk
Myalgia No Yes No No Unk Yes Unk Unk
Chest pain Yes Yes Yes Yes Unk Yes Unk Unk
Heart failure No Yes Yes No Unk No Unk Unk
Eschar
 Yes; neck
 No
 Yes; unk
 Yes; abdomen
 Unk
 Unk
 No
 No
Organism R. slovaca R. australis R. africae R. africae R. rickettsii R. rickettsii R. conorii R. rickettsii
LVD No Yes Unk No Yes Yes Unk Yes
PE
 No
 No
 Unk
 No
 Yes
 No
 Unk
 No
Treatment Doxycycline Tigecycline, doxycycline Doxycycline Doxycycline Unk Doxycycline Doxycycline Doxycycline

*LVD, left ventricular dysfunction; PE, pericardial effusion; unk, unknown.

Main Article

Page created: November 16, 2017
Page updated: November 16, 2017
Page reviewed: November 16, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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